Provider Demographics
NPI:1841442431
Name:UNDERWOOD-CHARETTE, JANEL (LCSW)
Entity type:Individual
Prefix:
First Name:JANEL
Middle Name:
Last Name:UNDERWOOD-CHARETTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-2291
Mailing Address - Country:US
Mailing Address - Phone:207-764-3142
Mailing Address - Fax:207-764-6459
Practice Address - Street 1:23 NORTH ST
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2291
Practice Address - Country:US
Practice Address - Phone:207-764-3142
Practice Address - Fax:207-764-6459
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC126931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical